ZFX-42090-12330

3 vaccinations 6 coded responses 35 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 363 / AL
Registered: 2021-01-06

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: The injection site is not red anymore,but bruised.i believe it may have been given too low on my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-03
Dose 3 — Moderna
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Fatigue or tiredness

Adult check-in
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dry throat, Oropharyngeal pain — Feeling: Fair

Free text: Sore throath,kind of dry

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-07
Survey response — day 35, dose 3
MedDRA: Arthralgia, Insomnia, Pain in extremity, Polymenorrhoea — Feeling: Fair

Free text: Trouble sleeping, shorter periods,occasionally pain in my joints and feet,kind of come and goes.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-04
Survey response — 3 months, dose 3
MedDRA: Bone pain, Dysphagia, Oesophagitis, Office visit, Pain in extremity, Weight decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pain in my feet,metatarsal, esophagitis to the point,the inflammation gave me trouble to swallow,loss some weight. · Healthcare visit (other): My gastroenterology doctor

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-04
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Dysphagia, Metatarsalgia, Office visit, Pruritus — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Swallowing problems,painful joints, itchy skin,metatarsal pain, all after my booster shot. · Healthcare visit (other): Ent,gastrointerologist,podiatrist and foot doctor

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-03
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2022-01-03	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-04	Successful 2022-04-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-04	Successful 2022-07-05	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 7, dose 2

2021-02-10

Systemic reaction (other): The injection site is not red anymore,but bruised.i believe it may have been given too low on my arm

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): Sore throat

2022-01-09

Systemic reaction (other): Sore throath,kind of dry

Release 11 — day 35, dose 3

2022-02-07

Symptoms: Trouble sleeping, shorter periods,occasionally pain in my joints and feet,kind of come and goes.

Release 11 — 3 months, dose 3

2022-04-04

Symptoms: Pain in my feet,metatarsal, esophagitis to the point,the inflammation gave me trouble to swallow,loss some weight.

Healthcare visit (other): My gastroenterology doctor

Release 12 — 6 months, dose 3

2022-07-04

Symptoms: Swallowing problems,painful joints, itchy skin,metatarsal pain, all after my booster shot.

Healthcare visit (other): Ent,gastrointerologist,podiatrist and foot doctor

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Bone pain	·	·	✓
SD	Dysphagia	·	·	✓
SD	Insomnia	·	·	✓
SD	Metatarsalgia	·	·	✓
SD	Oesophagitis	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Polymenorrhoea	·	·	✓
SD	Pruritus	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Dry throat	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release